Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogs

<p>Abstract</p> <p>A cross-sectional study of insured Swedish dogs with a recorded diagnosis of canine atopic dermatitis (CAD) was performed. In order to validate the correctness of this specific diagnosis in the insurance database, medical records were requested by mail from the a...

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Main Authors: Emanuelson Ulf, Bergvall Kerstin, Nødtvedt Ane, Egenvall Agneta
Format: Article
Language:English
Published: BMC 2006-06-01
Series:Acta Veterinaria Scandinavica
Online Access:http://www.actavetscand.com/content/1/1/8
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author Emanuelson Ulf
Bergvall Kerstin
Nødtvedt Ane
Egenvall Agneta
author_facet Emanuelson Ulf
Bergvall Kerstin
Nødtvedt Ane
Egenvall Agneta
author_sort Emanuelson Ulf
collection DOAJ
description <p>Abstract</p> <p>A cross-sectional study of insured Swedish dogs with a recorded diagnosis of canine atopic dermatitis (CAD) was performed. In order to validate the correctness of this specific diagnosis in the insurance database, medical records were requested by mail from the attending veterinarians. All dogs with a reimbursed claim for the disease during 2002 were included in the original study sample (n = 373). Medical records were available for 335 individuals (response rate: 89.8%). By scrutinizing the submitted records it was determined that all dogs had been treated for dermatologic disease, and that 327 (97.6%) could be considered to have some allergic skin disease. However, as information regarding dietary trial testing was missing in many dogs the number that were truly atopic could not be determined. The clinical presentation and nature of test diet for dogs with or without response to dietary trial testing was compared for a subset of 109 individuals that had undergone such testing. The only significant difference between these two groups was that the proportion of dogs with reported gastrointestinal signs was higher in the group that subsequently responded to a diet trial. In conclusion, the agreement between the recorded diagnosis in the insurance database and the clinical manifestations recorded in the submitted medical records was considered acceptable. The concern was raised that many attending veterinarians did not exclude cutaneous adverse food reactions before making the diagnosis of CAD.</p>
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spelling doaj.art-a5d7bf1e7d39493ca76424a0dadce45e2022-12-21T21:20:55ZengBMCActa Veterinaria Scandinavica1751-01472006-06-01481810.1186/1751-0147-48-8Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogsEmanuelson UlfBergvall KerstinNødtvedt AneEgenvall Agneta<p>Abstract</p> <p>A cross-sectional study of insured Swedish dogs with a recorded diagnosis of canine atopic dermatitis (CAD) was performed. In order to validate the correctness of this specific diagnosis in the insurance database, medical records were requested by mail from the attending veterinarians. All dogs with a reimbursed claim for the disease during 2002 were included in the original study sample (n = 373). Medical records were available for 335 individuals (response rate: 89.8%). By scrutinizing the submitted records it was determined that all dogs had been treated for dermatologic disease, and that 327 (97.6%) could be considered to have some allergic skin disease. However, as information regarding dietary trial testing was missing in many dogs the number that were truly atopic could not be determined. The clinical presentation and nature of test diet for dogs with or without response to dietary trial testing was compared for a subset of 109 individuals that had undergone such testing. The only significant difference between these two groups was that the proportion of dogs with reported gastrointestinal signs was higher in the group that subsequently responded to a diet trial. In conclusion, the agreement between the recorded diagnosis in the insurance database and the clinical manifestations recorded in the submitted medical records was considered acceptable. The concern was raised that many attending veterinarians did not exclude cutaneous adverse food reactions before making the diagnosis of CAD.</p>http://www.actavetscand.com/content/1/1/8
spellingShingle Emanuelson Ulf
Bergvall Kerstin
Nødtvedt Ane
Egenvall Agneta
Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogs
Acta Veterinaria Scandinavica
title Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogs
title_full Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogs
title_fullStr Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogs
title_full_unstemmed Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogs
title_short Canine atopic dermatitis: validation of recorded diagnosis against practice records in 335 insured Swedish dogs
title_sort canine atopic dermatitis validation of recorded diagnosis against practice records in 335 insured swedish dogs
url http://www.actavetscand.com/content/1/1/8
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AT bergvallkerstin canineatopicdermatitisvalidationofrecordeddiagnosisagainstpracticerecordsin335insuredswedishdogs
AT nødtvedtane canineatopicdermatitisvalidationofrecordeddiagnosisagainstpracticerecordsin335insuredswedishdogs
AT egenvallagneta canineatopicdermatitisvalidationofrecordeddiagnosisagainstpracticerecordsin335insuredswedishdogs